Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judith Arden Petroski, LSWR

Individual provider Clinical Social Worker · NPI 1689698631

Judith Arden Petroski, LSWR is a Clinical Social Worker in Utica, New York. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

11057 Miller Rd
Utica, NY 13502-7013
Phone: (315) 733-0520
Fax: (315) 733-0518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R056155 (NY)

Record details

NPI number1689698631
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWR
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Utica